Ellagic acid

Ellagic acid

For Patients & Caregivers

How It Works

Ellagic acid is found in many foods that are part of a healthy diet, but there is no evidence to support its use for cancer treatment.

Ellagic acid is a naturally occurring compound called a tannin, found in red raspberries, strawberries, and walnuts. It has been studied in the laboratory, but not in humans. In laboratory animals, ellagic acid showed cancer-preventive properties. For example, rats fed ellagic acid before and during exposure to carcinogens (cancer-causing substances) developed fewer liver tumors than rats fed a normal diet. Similar results were shown in mice with lung or esophageal cancer. Scientists think that ellagic acid exerts these effects in two ways. First, ellagic acid enhances the activity of certain detoxification enzymes in the liver, speeding up the removal of dangerous substances from the body, while it also inhibits the cytochrome P450 liver enzymes and may prevent them from metabolizing carcinogens into more dangerous forms. Second, ellagic acid causes changes in the cell cycle of cancer cells in the test tube, leading to cell death.

Purported Uses
  • To prevent cancer
    Although experiments in the laboratory and in animals suggest that ellagic acid may have anti-cancer properties, these results are not always transferable to the human body. There are no data on the safety and efficacy of ellagic acid in humans.
  • To lower cholesterol
    One study found that consumption of a drink made with freeze-dried strawberry powder for 4 weeks lowered total cholesterol and LDL levels in obese women with metabolic syndrome. Further research is needed to confirm this effect.
Do Not Take If
  • You are taking drugs that are substrates of Cytochrome P450: (Ellagic acid may increase the risk of side effects of these drugs).
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For Healthcare Professionals

Clinical Summary

A phenolic compound derived from ellagitannins commonly found in red raspberries, strawberries and walnuts, ellagic acid has antiviral and antibacterial properties (1) (2). A small clinical study found that ellagic acid may lower cholesterol and decrease lipid peroxidation in patients with metabolic syndrome (7). Other studies have reported that ellagic acid is a potent antioxidant (1) (8).

Pre-clinical studies indicate anticarcinogenic effects of ellagic acid against liver, esophageal, prostate, and colorectal cancer cell lines (3) (4) (5) (6). It was also shown to induce apoptosis and potentiate all-trans retinoic acid myeloid differentiation therapy in human leukemia HL-60 cells (9). Human studies have yet to be conducted.

In another study, pomegranate-derived ellagitannins exhibited anti-aromatase activity and suppressed testosterone-induced breast cancer cell proliferation, but ellagic acid did not have such effects  (10).

Food Sources

Red raspberries, strawberries, pomegranates, walnuts.

Purported Uses
  • Cancer prevention
  • Hypercholesterolemia
Mechanism of Action

Ellagic acid appears to inhibit chemical-induced esophageal carcinogenesis in animals (11). It down-regulates insulin-like growth factor IGF-II (6) and activates p53/p21 expression, leading to cell cycle arrest at the G1/S phase and apoptosis (12). In vitro studies report that ellagic acid protects cells from oxidative DNA damage caused by hydrogen peroxide and bleomycin (8). Ellagic acid’s ability to induce detoxification enzymes NADPH and quinone reductase contribute to some of its chemopreventive activities (13). Conversely, certain cytochrome P450 enzymes are inhibited by ellagic acid, preventing other carcinogens from being metabolized into more mutagenic forms (14) (15).

Herb-Drug Interactions
  • Cytochrome P450 substrates: Ellagic acid inhibits cytochrome P450 and can affect the intracellular concentration of drugs metabolized by this enzyme (14) (15).
Dosage (OneMSK Only)
  1. Akiyama H, et al. Antibacterial action of several tannins against Staphylococcus aureus. J Antimicrob Chemother 2001;48:487-91.

  2. Stoner GD, et al. Isothiocyanates and freeze-dried strawberries as inhibitors of esophageal cancer. Toxicol Sci 1999;52(2 Suppl):95-100.

  3. Adams LS, Zhang Y, Seeram NP, Heber D, Chen S. Pomegranate ellagitannin-derived compounds exhibit anti proliferative and anti-aromatase activity in breast cancer cells in vitro. Cancer Prev Res. 2010 Jan;3(1):108-113.

  4. Boukharta M, Jalbert G, Castonguay A. Biodistribution of ellagic acid and dose-related inhibition of lung tumorigenesis in A/J mice. Nutr Cancer 1992;18:181-9.

  5. Doyle B, Griffiths LA. The metabolism of ellagic acid in the rat. Xenobiotica 1980;10:247-56.

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